Individual
DR. JEREMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
604 SOUTH 52ND ST, ROGERS, AR 72758
(479) 636-2990
Mailing address
604 SOUTH 52ND ST, ROGERS, AR 72758
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3384
AR
Other
Enumeration date
08/19/2006
Last updated
12/30/2008
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